This is a rare multi-market opportunity for a Board-Certified or Board-Eligible Gastroenterologist to join one of the largest physician-led GI networks in the United States — with active openings in San Antonio TX (two distinct groups), the Houston Area TX, Flowood MS, and St. Louis MO. The network spans 800+ physicians across 330+ locations in 15 states and is built around physician ownership, ASC equity, and compensation structures that routinely exceed $1M annually. Whether you are a general GI clinician, an advanced endoscopist, or seeking a GI hospitalist role, there is a position here calibrated to your training and lifestyle goals.
Perks and Benefits
- Base salaries from $600K+ with documented average earnings above $1M; select groups averaging $1.3M+ and top earners exceeding $2.8M
- Commencement packages ranging from $100K to $200K depending on site (sign-on, starting bonus, relocation, stipend, and/or retention components)
- Partnership track available at all locations; equity typically vests at year 3
- Ambulatory Surgery Center (ASC) ownership potential with ancillary income streams at multiple sites
- Productivity bonus structures layered on top of guaranteed base (location-dependent)
- Loan assistance programs up to $200K available in select markets (St. Louis confirmed)
- Relocation assistance, signing bonuses, and CME support included across locations
- National administrative infrastructure handles non-clinical operations so physicians focus on patient care
- J-1 visa sponsorship available at the Flowood, MS location
Practice Highlights
- San Antonio, TX — Group 1 (North/Central): ~20 senior physicians; average earnings $1.1M+ with ASC participation; 4 positions open (growth and retirement-driven); general GI focus with advanced endoscopy optional; light 1:7 call covering practice patients only; employed model transitioning to partnership at year 3
- San Antonio, TX — Group 2 (Downtown): 9 senior physicians; average earnings $1.3M+, with some physicians exceeding $2.8M; 3 open positions — 2 General GI and 1 GI Hospitalist; flexible 1:4 call with higher-acuity ER call that is separately and well compensated; partnership track with ASC ownership
- Houston Area, TX: $600K guaranteed base plus production bonus; expected total earnings $1M+; $200K commencement package; high-volume, physician-led practice in one of the nation's largest metro markets
- Flowood, MS: Largest GI group in Mississippi; 90,000 sq. ft. flagship center; 28 physicians and 10 APPs on staff; extensive on-site ancillary services; earnings $600K+ annually; $200K total bonus package; J-1 visa compatible
- St. Louis, MO: Guaranteed base plus productivity bonus; $100K commencement package plus $200K loan support; ASC ownership and ancillary income available; 1:5–1:6 call schedule; ERCP/EUS not required; candidate steps into an established patient panel due to physician retirement
- Network-wide: 800+ physicians, 330+ locations, 15 states — providing referral depth, subspecialty collaboration, and institutional stability uncommon in private practice
- All sites are physician-led and partnership-driven — no corporate ownership model
Qualifications
- Board Certification or Board Eligibility in Gastroenterology (ABIM)
- Completion of an accredited Gastroenterology fellowship
- Active state medical license or eligibility to obtain in the target state (TX, MS, or MO)
- General GI competency required at all sites; advanced endoscopy (ERCP, EUS) welcomed but optional at most locations
- Commitment to patient-centered care and interest in a partnership-driven private practice model
- J-1 visa candidates eligible to apply for the Flowood, MS position
About the Community
San Antonio, TX is a family-friendly city with top-rated schools, a vibrant multicultural scene, the iconic River Walk, and a mild climate that supports year-round outdoor activity. Houston, TX offers major-metro amenities — world-class dining, arts, professional sports, and one of the busiest international airports in the country — alongside affordable suburbs with excellent school districts. Flowood, MS is ranked the #2 Best Place to Live and Raise a Family in Mississippi, with a low cost of living, strong schools, and convenient access to Jackson-Medgar Wiley Evers International Airport and major highway corridors. St. Louis, MO delivers a rich cultural landscape — free world-class museums, performing arts, and professional sports — combined with abundant outdoor recreation and easy driving distance to Chicago, Indianapolis, and Kansas City.